Diabetic Ketoacidosis in Klinefelter Syndrome Sans Malignancy with Unusually Elevated Levels of CEA: A Case Report

Xinxin Wo, Xiaoyan Yu, Lingling Miao, Yushan Mao, Keke Tang Department of Endocrinology, The First Affiliated Hospital of Ningbo University, Ningbo University, Ningbo, People’s Republic of ChinaCorrespondence: Keke Tang, Department of Endocrinology, The First Affiliated Hospital of Ningbo University...

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Main Authors: Wo X, Yu X, Miao L, Mao Y, Tang K
Format: Article
Language:English
Published: Dove Medical Press 2025-01-01
Series:Diabetes, Metabolic Syndrome and Obesity
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Online Access:https://www.dovepress.com/diabetic-ketoacidosis-in-klinefelter-syndrome-sans-malignancy-with-unu-peer-reviewed-fulltext-article-DMSO
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author Wo X
Yu X
Miao L
Mao Y
Tang K
author_facet Wo X
Yu X
Miao L
Mao Y
Tang K
author_sort Wo X
collection DOAJ
description Xinxin Wo, Xiaoyan Yu, Lingling Miao, Yushan Mao, Keke Tang Department of Endocrinology, The First Affiliated Hospital of Ningbo University, Ningbo University, Ningbo, People’s Republic of ChinaCorrespondence: Keke Tang, Department of Endocrinology, The First Affiliated Hospital of Ningbo University, Ningbo University, Ningbo, People’s Republic of China, Email lcyxtkk@126.comPurpose: Klinefelter’s syndrome (KS) is the most common sex chromosome disorder in the male population and is characterized by the presence of one or more X chromosomes. Studies have reported that the proportion of KS patients with diabetes is not low. It is also not uncommon for diabetes patients with poorly controlled blood glucose to have a transient mild increase in their carcinoembryonic antigen (CEA) levels. This study reports the case of Diabetic ketoacidosis (DKA) concurrently with a significant increase in CEA levels (reaching 40.8 ng/mL) in patients with KS.Methods: This middle-aged KS patient was immediately treated for DKA upon admission. A series of exams were performed to exclude the possibility of malignant tumors, and the patient’s glucose and CEA levels were closely monitored.Results: After excluding the possibility of malignant tumors, the patient’s CEA level gradually decreased to normal after good glycemic control.Conclusion: This is the first report describing significant increases in CEA levels in KS patients with diabetes, which is of great clinical significance for the treatment of diabetes patients.Keywords: diabetic ketoacidosis, hyperglycemia, Klinefelter’s syndrome, carcinoembryonic antigen
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series Diabetes, Metabolic Syndrome and Obesity
spelling doaj-art-db2701d0ac2a4d3a96d5a6a224b0f14d2025-01-28T17:53:33ZengDove Medical PressDiabetes, Metabolic Syndrome and Obesity1178-70072025-01-01Volume 1823323699676Diabetic Ketoacidosis in Klinefelter Syndrome Sans Malignancy with Unusually Elevated Levels of CEA: A Case ReportWo XYu XMiao LMao YTang KXinxin Wo, Xiaoyan Yu, Lingling Miao, Yushan Mao, Keke Tang Department of Endocrinology, The First Affiliated Hospital of Ningbo University, Ningbo University, Ningbo, People’s Republic of ChinaCorrespondence: Keke Tang, Department of Endocrinology, The First Affiliated Hospital of Ningbo University, Ningbo University, Ningbo, People’s Republic of China, Email lcyxtkk@126.comPurpose: Klinefelter’s syndrome (KS) is the most common sex chromosome disorder in the male population and is characterized by the presence of one or more X chromosomes. Studies have reported that the proportion of KS patients with diabetes is not low. It is also not uncommon for diabetes patients with poorly controlled blood glucose to have a transient mild increase in their carcinoembryonic antigen (CEA) levels. This study reports the case of Diabetic ketoacidosis (DKA) concurrently with a significant increase in CEA levels (reaching 40.8 ng/mL) in patients with KS.Methods: This middle-aged KS patient was immediately treated for DKA upon admission. A series of exams were performed to exclude the possibility of malignant tumors, and the patient’s glucose and CEA levels were closely monitored.Results: After excluding the possibility of malignant tumors, the patient’s CEA level gradually decreased to normal after good glycemic control.Conclusion: This is the first report describing significant increases in CEA levels in KS patients with diabetes, which is of great clinical significance for the treatment of diabetes patients.Keywords: diabetic ketoacidosis, hyperglycemia, Klinefelter’s syndrome, carcinoembryonic antigenhttps://www.dovepress.com/diabetic-ketoacidosis-in-klinefelter-syndrome-sans-malignancy-with-unu-peer-reviewed-fulltext-article-DMSOdiabetic ketoacidosis, hyperglycemia, klinefelter's syndrome, carcinoembryonic antigen
spellingShingle Wo X
Yu X
Miao L
Mao Y
Tang K
Diabetic Ketoacidosis in Klinefelter Syndrome Sans Malignancy with Unusually Elevated Levels of CEA: A Case Report
Diabetes, Metabolic Syndrome and Obesity
diabetic ketoacidosis, hyperglycemia, klinefelter's syndrome, carcinoembryonic antigen
title Diabetic Ketoacidosis in Klinefelter Syndrome Sans Malignancy with Unusually Elevated Levels of CEA: A Case Report
title_full Diabetic Ketoacidosis in Klinefelter Syndrome Sans Malignancy with Unusually Elevated Levels of CEA: A Case Report
title_fullStr Diabetic Ketoacidosis in Klinefelter Syndrome Sans Malignancy with Unusually Elevated Levels of CEA: A Case Report
title_full_unstemmed Diabetic Ketoacidosis in Klinefelter Syndrome Sans Malignancy with Unusually Elevated Levels of CEA: A Case Report
title_short Diabetic Ketoacidosis in Klinefelter Syndrome Sans Malignancy with Unusually Elevated Levels of CEA: A Case Report
title_sort diabetic ketoacidosis in klinefelter syndrome sans malignancy with unusually elevated levels of cea a case report
topic diabetic ketoacidosis, hyperglycemia, klinefelter's syndrome, carcinoembryonic antigen
url https://www.dovepress.com/diabetic-ketoacidosis-in-klinefelter-syndrome-sans-malignancy-with-unu-peer-reviewed-fulltext-article-DMSO
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